Individual
JEFFREY MARK DRAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 9, SUITE B, BOSTON, MA 02118-2526
(617) 638-7480
(617) 638-7486
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
36140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054787
—
MA
Enumeration date
12/22/2005
Last updated
10/31/2011
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